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Organization

IQUBAL S. DHALIWAL, M.D.

Active
Other names
Iqubal Dhaliwal
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IQUBAL S. DHALIWAL M.D. (M.D.)
(508) 384-1821
Entity
Organization

Contact information

Practice address
24 COMMON ST, SUITE 3, WRENTHAM, MA 02093-1399
(508) 384-1821
(508) 384-0253
Mailing address
24 COMMON ST, SUITE 3, WRENTHAM, MA 02093-1399
(508) 384-1821
(508) 384-0253

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
52229
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0075513
AETNA
MA
01
0402020
UNITED HEALTHCARE
MA
05
3065391
MA
01
4125428
CIGNA
MA
01
69591
HARVARD PILGRIM
MA
01
712738
TUFTS HEALTH PLAN
MD
01
M17341
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/11/2007
Last updated
10/19/2007
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